PROVIDENCIA D GONZALEZ - Pharmacist License in Illinois | # 049167002

PROVIDENCIA D GONZALEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167002

License Status

NOT RENEWED

Business

N

First Name

PROVIDENCIA

Middle

D

Last Name

GONZALEZ

Business Name

PROVIDENCIA D GONZALEZ

Original Issue Date

03/24/2006

Effective Date

07/06/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/25/2022